Dr. Gerald Diaz @GeraldMD
23.2M 13.8K 7.2K
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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48 results
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... EKG is helpful in ... other causes of cardio-pulmonary ... #EKG #Pulmonary ... #diagnosis #cardiology
Myocarditis - Diagnosis and Causes
 β€’ Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
Myocarditis - Diagnosis ... , Cardiac failure ... Recent flu-like syndrome ... Paraclinical assessment: EKG ... #Causes #cardiology
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Manage acute cardiac ... Manage chronic cardiac ... Pericarditis, Tamponade EKG ... #diagnosis #management ... #cardiology #summary
Myocarditis
Diagnosis 
β€’ Endomyocardial biopsy (gold standard, rarely performed) 
β€’ Clinical presentation 
β€’ Cardiovascular MRI 
Clinical 
β€’
Myocarditis Diagnosis ... gallop β€’ Abnormal ECG ... shock, sudden cardiac ... #Diagnosis #Management ... #Cardiology
Multifocal Atrial Tachycardia (MAT)
β€’ At least 3 different P wave morphologies: 
β€’ Rate 100-180
β€’ Irregular 
Etiology
β€’ Hypoxia β€’ Pulmonary ... hypertension Management ... Tachycardia #MAT #Cardiology ... #Diagnosis #ECG ... #EKG #Management
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... on ECG Mid ... Triage EKG (no prior ... Differential/diagnosis ... #Embolism #ECG
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Triage EKG (no prior ... Differential/diagnosis ... embolism. ... A4c #clinical #cardiology
β–Ί
Causes of Dyspnea - Differential Diagnosis Algorithm
Cardiac:
 β€’ Dysrhythmia
 β€’ Ischemia
 β€’ Cardiomyopathy
 β€’ Valvular disease
- Differential Diagnosis ... Algorithm Cardiac ... pericarditis β€’ Myocarditis ... Superior vena cava syndrome ... embolism β€’ Pulmonary
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Valve Disease, Myocarditis ... β€’ Obstructive: Pulmonary ... Embolism, Tension ... Pneumothorax, Cardiac ... Abdominal compartment syndrome
Medical Management of Acute RV Failure
 β€’ Evaluate and Treat Etiology of RV Failure [e.g. Acute
Medical Management ... of RV Failure [e.g ... involving RV, Pulmonary ... Embolism] β€’ Evaluate ... rightventricular #cardiology